Health Center Program Update PCA/HCCN General Session NACHC Community Health Institute August 21, 2015 Tonya Bowers, MHS Acting Associate Administrator Bureau of Primary Health Care Health Resources and Services Administration U.S. Department of Health and Human Services
Primary Care: Key Strategies Increase access to primary health care services for underserved populations Modernize the primary health care safety net infrastructure and delivery system Increase Modernize Promote performancedriven and innovative organizations Promote Improve Improve health outcomes for patients 2
Health Center Program Increase Access: Growth 22.9 million patients 92% Below 200% Poverty 28% Uninsured 62% Racial/Ethnic Minorities Percent Growth 2008 2014 Dental Patients 56% Special Populations 1,151,046 Homeless Individuals 891,796 Agricultural Workers 429,251 Residents of Public Housing 289,391 Veterans 7,154,362 Children National Numbers 13,515 new jobs 1 in 14 people living in the U.S. 1 in 7 people living below 200% FPL 1 in 7 of the Nation s uninsured Substance Abuse Patients Mental Health Patients Medical Patients Total Patients 8% 85% 31% 34% 0% 20% 40% 60% 80% 100% 3
Primary Care Strategy: Increase Access Increase 34% increase in patients served since 2008 64% of health centers increased patients from 2013 2014 334 new health centers since 2008 12 million assisted under Outreach and Enrollment Program Goals: Increase number of patients served Increase % of patients served in existing service areas Increase % of low income communities served by health centers 4
Modernize Primary Care Strategy: Modernize Infrastructure and Systems 98% of health centers have installed Electronic Health Records (EHR) 89% of health centers are participating in Meaningful Use Modernized over 800 service delivery sites Program Goals: Increase % of health centers that report UDS data using an EHR Increase % of health centers reaching Stage 2 Meaningful Use Standards Increase % of health centers with modernized facilities 5
Improve Primary Care Strategy: Improve Health Outcomes 89% of health centers met or exceeded Healthy People 2020 goals for at least one clinical measure in 2014 93% of health centers improved in at least one clinical quality measure from 2013 2014 6% increase in Enabling Services patients from 2013 2014 Program Goals: Increase % of health centers exceeding Healthy People 2020 goals Increase % of health centers improving performance on quality measures Increase use of enabling services at health centers 6
Primary Care Strategy: Promote Performance Driven and Innovative Organizations Promote 118 health centers increased patients overall by at least 5% and increased patients in at least 2 service categories 69% of health centers are Patient Centered Medical Home (PCMH) recognized Over 700 health centers are participating in health center controlled networks Program Goals: Increase % of health centers that provide integrated care Increase number of health centers utilizing team based practice models/pcmh Increase use of health center data to drive program performance 7
Health Center Program: Growth Patients Grantees Jobs Millions 23 22 1300 1250 Thousands 180 170 160 21 1200 150 20 1150 140 19 1100 130 120 18 1050 110 17 1000 100 2008 2009 2010 2011 2012 2013 2014 Growth from 2008 2014 (% Increase) Patients 17,122,535 18,753,858 19,469,467 20,224,757 21,102,391 21,726,965 22,873,243 5,750,708 (33.6%) Grantees 1,080 1,131 1,124 1,128 1,198 1,202 1,278 198 (18.3%) Jobs 113,059 123,012 131,660 138,403 148,245 156,817 170,331 57,272 (50.7%) 8
FY 2015 Funding Funding Amount Awards Mental Health Service Expansion Behavioral $51 M 210 Health Integration Quality Improvement Awards $36 M 1,113 New Access Points (May) $101 M 164 New Access Points (August) $169 M 266 National Cooperative Agreements $3 M 3 4 Expanded Services $350 M ~1,280 Base Adjustments (+PCMH recognition) $165 M ~1,280 Health Infrastructure Investment Program $150 M 150 175 Italics denote planned funding not yet awarded. 9
FY 2016: Anticipated Funding Funding Amount Awards Substance Abuse Service Expansion $100 M 310 Health Center Controlled Networks $33 M ~50 President s Budget Quality Improvement Awards $40 M ~1,300 New Access Points $50 M 75 10
HHS Efforts to Improve US Health Care Delivery Incentives Promote value based payment systems o Test new alternative payment models o Increase linkage of Medicaid, Medicare FFS, and other payments to value o Align Quality Measures Care Delivery Improve individual and population health Encourage integration and coordination of clinical care services Promote patient engagement through shared decision making Support Innovation including for access Information Create transparency on cost and quality information Accelerate availability of data to guide decision making Bring electronic health information to the point of care for meaningful use 11
Affordable Care Act: Health Center Role and Achievements From July 1, 2013 through June 30, 2015, health centers assisted more than 12 million individuals in their efforts to become insured. From October 1, 2014 through June 30, 2015, health centers assisted more than 4.9 million individuals in their efforts to become insured. Coverage to Care (C2C): educate consumers about their new coverage and connect them with primary care and preventive services. The Health Insurance Marketplace Open enrollment period: November 1, 2015 January 31, 2016 www.healthcare.gov www.marketplace.cms.gov 12
Contact Information Tonya Bowers, MHS Acting Associate Administrator U.S. Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Telephone: 301.594.4110 Email: TBowers@hrsa.gov 13